Organization
CAPITAL FOOT AND ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHAEL POORE D.P.M. (OWNER)
(515) 864-1708
Entity
Organization
Contact information
Practice address
136 W EDMONTON DR, BISMARCK, ND 58503-0224
(515) 864-1708
Mailing address
PO BOX 1952, BISMARCK, ND 58502-1952
(515) 864-1708
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
79
ND
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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